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Pan-Canadian Care Service Directory (1.0.0-DFT)

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    • Roles Description
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    • Bulk Export
  • FHIR Artifacts
    • Endpoint
    • Extension DeliveryMethod
    • Extension UsageLicense
    • FacilityLocation
    • FacilityOrganization
    • HealthcareService
    • JurisdictionLocation
    • JurisdictionOrganization
    • Location
    • LocationDistance
    • Organization
    • OrganizationAffiliation
    • Practitioner
    • PractitionerRole
    • Capability Statements
    • Operations
    • Example - Queries
    • Example - Resources
  • Change Log
    1. Table-of-Contents
    2. FHIR Artifacts
    3. PractitionerRole

DFT - The specification is currently in ballot review and subject to change. It is not ready for limited roll-out or production level use. For a full list of available versions, see the Directory of published versions

PractitionerRole

Links

Profile

CA-CSD-PractitionerRole

Derived from

https://profiles.ihe.net/ITI/mCSD/StructureDefinition/IHE.mCSD.PractitionerRole

Examples

ca-csd-example-practitionerrole

Description

A PractitionerRole is used to show what Healthcare Service, a Practitioner provides at a particular Location for an Organization.

References to this resource

Resource Content

  • Tree view
  • Overview
  • XML
  • JSON
PractitionerRoleIMCSDPractitionerRole
There are no (further) constraints on this element
Element id

PractitionerRole

Short description

Roles/organizations the practitioner is associated with

Definition

A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.

Data type

MCSDPractitionerRole

Constraints
  • dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    contained.contained.empty()
  • dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
  • dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
  • dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    contained.meta.security.empty()
  • dom-6: A resource should have narrative for robust management
    text.`div`.exists()
Mappings
  • rim: Entity. Role, or Act
  • v2: PRD (as one example)
  • rim: Role
  • servd: ServiceSiteProvider
idΣ0..1id
There are no (further) constraints on this element
Element id

PractitionerRole.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

id

metaΣ0..1Meta
There are no (further) constraints on this element
Element id

PractitionerRole.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Meta

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
implicitRulesΣ ?!0..0uri
There are no (further) constraints on this element
Element id

PractitionerRole.implicitRules

Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Data type

uri

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
language0..1codeBinding
There are no (further) constraints on this element
Element id

PractitionerRole.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
text0..1Narrative
There are no (further) constraints on this element
Element id

PractitionerRole.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Data type

Narrative

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: Act.text?
contained0..*Resource
There are no (further) constraints on this element
Element id

PractitionerRole.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Resource

Mappings
  • rim: N/A
extensionI0..*Extension
There are no (further) constraints on this element
Element id

PractitionerRole.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
modifierExtension?! I0..0Extension
There are no (further) constraints on this element
Element id

PractitionerRole.modifierExtension

Short description

Extension

Definition

An Extension

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
identifierΣ0..*Identifier
There are no (further) constraints on this element
Element id

PractitionerRole.identifier

Short description

Business Identifiers that are specific to a role/location

Definition

Business Identifiers that are specific to a role/location.

Requirements

Often, specific identities are assigned for the agent.

Data type

Identifier

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.identifier
  • v2: PRD-7 (or XCN.1)
  • rim: .id
  • servd: ./Identifiers
activeS Σ0..1booleanElement id

PractitionerRole.active

Short description

Whether this practitioner role record is in active use

Definition

Whether this practitioner role record is in active use.

Requirements

Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Meaning when missing

This resource is generally assumed to be active if no value is provided for the active element

Data type

boolean

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.status
  • v2: STF-7
  • rim: .statusCode
periodΣ0..1Period
There are no (further) constraints on this element
Element id

PractitionerRole.period

Short description

The period during which the practitioner is authorized to perform in these role(s)

Definition

The period during which the person is authorized to act as a practitioner in these role(s) for the organization.

Requirements

Even after the agencies is revoked, the fact that it existed must still be recorded.

Data type

Period

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.done[x]
  • v2: PRD-8/9 / PRA-5.4
  • rim: .performance[@typeCode <= 'PPRF'].ActDefinitionOrEvent.effectiveTime
  • servd: (ServD maps Practitioners and Organizations via another entity, so this concept is not available)
practitionerS Σ0..1Reference(Practitioner)Element id

PractitionerRole.practitioner

Short description

The Practitioner that performs this role.

Definition

The Practitioner that performs this role.

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

Reference(Practitioner)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .player
organizationS Σ0..1Reference(Organization)Element id

PractitionerRole.organization

Short description

The Organization where the roles are available.

Definition

The Organization where the roles are available.

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

Reference(Organization)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .scoper
codeS Σ1..*CodeableConceptBindingElement id

PractitionerRole.code

Short description

The roles the Practitioner performs.

Definition

The roles the Practitioner performs.

Requirements

Need to know what authority the practitioner has - what can they do?

Comments

Identified as a query requirement through mCSD CapabilityStatement. Elements with a modified minimum cardinality of 1 will have a mustSupport element to ensure that it is populated.

Data type

CodeableConcept

Binding

A role type that is used to categorize an entity that delivers health care in an expected and professional manner to an entity in need of health care services. Examples: Registered Nurse, Chiropractor, Physician, Custodial Care Clinic.

HealthcareProviderRoleType (preferred)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: PRD-1 / STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17
  • rim: .code
  • servd: (ServD maps Practitioners and Organizations via another entity, so this concept is not available)
specialtyS Σ0..*CodeableConceptBindingElement id

PractitionerRole.specialty

Short description

Specific specialty of the practitioner

Definition

Specific specialty of the practitioner.

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

CodeableConcept

Binding

Defines the clinical, medical, surgical or other healthcare-related service specialty of a practitioner who interacts, treats or provides such services to or for a patient.

PractitionerSpecialty (preferred)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: PRA-5
  • rim: .player.HealthCareProvider[@classCode = 'PROV'].code
  • servd: ./Specialty
locationS Σ0..*Reference(Location)Element id

PractitionerRole.location

Short description

The Location where the Practitioner provides care.

Definition

The Location where the Practitioner provides care.

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

Reference(Location)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • w5: FiveWs.where[x]
  • rim: .performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC']
  • servd: (ServD maps Practitioners and Organizations via another entity, so this concept is not available)<br/> However these are accessed via the Site.ServiceSite.ServiceSiteProvider record. (The Site has the location)
healthcareServiceS0..*Reference(HealthcareService)Element id

PractitionerRole.healthcareService

Short description

The HealthcareServices provided by this Practitioner at an Organization and/or Location.

Definition

The HealthcareServices provided by this Practitioner at an Organization and/or Location.

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

Reference(HealthcareService)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: EDU-2 / AFF-3
  • rim: .player.QualifiedEntity[@classCode = 'QUAL'].code
telecomS Σ0..*ContactPointElement id

PractitionerRole.telecom

Short description

Contact details that are specific to the role/location/service

Definition

Contact details that are specific to the role/location/service.

Requirements

Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.

Comments

Identified as a requirement to support the ability to distinguish practitioner contact information that is distinct by location (or service). This is a mustSupport element in the CA:eReC profile.

Data type

ContactPoint

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .telecom
id0..1string
There are no (further) constraints on this element
Element id

PractitionerRole.telecom.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionI0..*Extension
There are no (further) constraints on this element
Element id

PractitionerRole.telecom.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Sliced:

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url
Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
systemS Σ I0..1codeBinding
There are no (further) constraints on this element
Element id

PractitionerRole.telecom.system

Short description

phone | fax | email | pager | url | sms | other

Definition

Telecommunications form for contact point - what communications system is required to make use of the contact.

Data type

code

Binding

Telecommunications form for contact point.

ContactPointSystem (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XTN.3
  • rim: ./scheme
  • servd: ./ContactPointType
valueΣ0..1string
There are no (further) constraints on this element
Element id

PractitionerRole.telecom.value

Short description

The actual contact point details

Definition

The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

Requirements

Need to support legacy numbers that are not in a tightly controlled format.

Comments

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XTN.1 (or XTN.12)
  • rim: ./url
  • servd: ./Value
useΣ ?!0..1codeBinding
There are no (further) constraints on this element
Element id

PractitionerRole.telecom.use

Short description

home | work | temp | old | mobile - purpose of this contact point

Definition

Identifies the purpose for the contact point.

Requirements

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Comments

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Data type

code

Binding

Use of contact point.

ContactPointUse (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: XTN.2 - but often indicated by field
  • rim: unique(./use)
  • servd: ./ContactPointPurpose
rankΣ0..1positiveInt
There are no (further) constraints on this element
Element id

PractitionerRole.telecom.rank

Short description

Specify preferred order of use (1 = highest)

Definition

Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

Comments

Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

Data type

positiveInt

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: n/a
  • rim: n/a
periodΣ0..1Period
There are no (further) constraints on this element
Element id

PractitionerRole.telecom.period

Short description

Time period when the contact point was/is in use

Definition

Time period when the contact point was/is in use.

Data type

Period

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • v2: N/A
  • rim: ./usablePeriod[type="IVL<TS>"]
  • servd: ./StartDate and ./EndDate
availableTime0..*BackboneElement
There are no (further) constraints on this element
Element id

PractitionerRole.availableTime

Short description

Times the Service Site is available

Definition

A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.

Comments

More detailed availability information may be provided in associated Schedule/Slot resources.

Data type

BackboneElement

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .effectiveTime
id0..1string
There are no (further) constraints on this element
Element id

PractitionerRole.availableTime.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionI0..*Extension
There are no (further) constraints on this element
Element id

PractitionerRole.availableTime.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
modifierExtensionΣ ?! I0..*Extension
There are no (further) constraints on this element
Element id

PractitionerRole.availableTime.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
daysOfWeek0..*codeBinding
There are no (further) constraints on this element
Element id

PractitionerRole.availableTime.daysOfWeek

Short description

mon | tue | wed | thu | fri | sat | sun

Definition

Indicates which days of the week are available between the start and end Times.

Data type

code

Binding

The days of the week.

DaysOfWeek (required)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .effectiveTime
allDay0..1boolean
There are no (further) constraints on this element
Element id

PractitionerRole.availableTime.allDay

Short description

Always available? e.g. 24 hour service

Definition

Is this always available? (hence times are irrelevant) e.g. 24 hour service.

Data type

boolean

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .effectiveTime
availableStartTime0..1time
There are no (further) constraints on this element
Element id

PractitionerRole.availableTime.availableStartTime

Short description

Opening time of day (ignored if allDay = true)

Definition

The opening time of day. Note: If the AllDay flag is set, then this time is ignored.

Comments

The timezone is expected to be for where this HealthcareService is provided at.

Data type

time

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .effectiveTime
availableEndTime0..1time
There are no (further) constraints on this element
Element id

PractitionerRole.availableTime.availableEndTime

Short description

Closing time of day (ignored if allDay = true)

Definition

The closing time of day. Note: If the AllDay flag is set, then this time is ignored.

Comments

The timezone is expected to be for where this HealthcareService is provided at.

Data type

time

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .effectiveTime
notAvailable0..*BackboneElement
There are no (further) constraints on this element
Element id

PractitionerRole.notAvailable

Short description

Not available during this time due to provided reason

Definition

The practitioner is not available or performing this role during this period of time due to the provided reason.

Data type

BackboneElement

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .effectiveTime
id0..1string
There are no (further) constraints on this element
Element id

PractitionerRole.notAvailable.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings
  • rim: n/a
extensionI0..*Extension
There are no (further) constraints on this element
Element id

PractitionerRole.notAvailable.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
modifierExtensionΣ ?! I0..*Extension
There are no (further) constraints on this element
Element id

PractitionerRole.notAvailable.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: N/A
description1..1string
There are no (further) constraints on this element
Element id

PractitionerRole.notAvailable.description

Short description

Reason presented to the user explaining why time not available

Definition

The reason that can be presented to the user as to why this time is not available.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
during0..1Period
There are no (further) constraints on this element
Element id

PractitionerRole.notAvailable.during

Short description

Service not available from this date

Definition

Service is not available (seasonally or for a public holiday) from this date.

Data type

Period

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .effectiveTime
availabilityExceptions0..1string
There are no (further) constraints on this element
Element id

PractitionerRole.availabilityExceptions

Short description

Description of availability exceptions

Definition

A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.

Data type

string

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: .effectiveTime
endpoint0..*Reference(Endpoint)
There are no (further) constraints on this element
Element id

PractitionerRole.endpoint

Short description

Technical endpoints providing access to services operated for the practitioner with this role

Definition

Technical endpoints providing access to services operated for the practitioner with this role.

Requirements

Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.

So the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.

Data type

Reference(Endpoint)

Constraints
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
PractitionerRoleMCSDPractitionerRole
There are no (further) constraints on this element
Data type

MCSDPractitionerRole

activeS
There are no (further) constraints on this element
Element id

PractitionerRole.active

Comments

Identified as a query requirement through mCSD CapabilityStatement.

practitionerSReference(Practitioner)
There are no (further) constraints on this element
Element id

PractitionerRole.practitioner

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

Reference(Practitioner)

organizationSReference(Organization)
There are no (further) constraints on this element
Element id

PractitionerRole.organization

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

Reference(Organization)

codeSBinding
There are no (further) constraints on this element
Element id

PractitionerRole.code

Comments

Identified as a query requirement through mCSD CapabilityStatement. Elements with a modified minimum cardinality of 1 will have a mustSupport element to ensure that it is populated.

Binding

A role type that is used to categorize an entity that delivers health care in an expected and professional manner to an entity in need of health care services. Examples: Registered Nurse, Chiropractor, Physician, Custodial Care Clinic.

HealthcareProviderRoleType (preferred)

specialtySBinding
There are no (further) constraints on this element
Element id

PractitionerRole.specialty

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Binding

Defines the clinical, medical, surgical or other healthcare-related service specialty of a practitioner who interacts, treats or provides such services to or for a patient.

PractitionerSpecialty (preferred)

locationSReference(Location)
There are no (further) constraints on this element
Element id

PractitionerRole.location

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

Reference(Location)

healthcareServiceSReference(HealthcareService)
There are no (further) constraints on this element
Element id

PractitionerRole.healthcareService

Comments

Identified as a query requirement through mCSD CapabilityStatement.

Data type

Reference(HealthcareService)

telecomS
There are no (further) constraints on this element
Element id

PractitionerRole.telecom

Comments

Identified as a requirement to support the ability to distinguish practitioner contact information that is distinct by location (or service). This is a mustSupport element in the CA:eReC profile.

systemS
There are no (further) constraints on this element
Element id

PractitionerRole.telecom.system

<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="CA-CSD-PractitionerRole" />
    <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
            <valueCode value="SHALL:able-to-populate" />
        </extension>
        <extension url="code">
            <valueCode value="SHOULD:populate" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.active" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.practitioner" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.organization" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.code" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.specialty" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.location" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.healthcareService" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.telecom" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.telecom.system" />
        </extension>
        <extension url="actor">
            <valueCanonical value="http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server" />
        </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
            <valueCode value="SHALL:no-error" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.active" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.practitioner" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.organization" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.code" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.specialty" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.location" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.healthcareService" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.telecom" />
        </extension>
        <extension url="elementId">
            <valueString value="PractitionerRole.telecom.system" />
        </extension>
        <extension url="actor">
            <valueCanonical value="http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client" />
        </extension>
    </extension>
    <url value="http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-PractitionerRole" />
    <name value="PractitionerRole" />
    <status value="draft" />
    <description value="A PractitionerRole is used to show what Healthcare Service, a Practitioner provides at a particular Location for an Organization." />
    <copyright value="Copyright &#169; 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="PractitionerRole" />
    <baseDefinition value="https://profiles.ihe.net/ITI/mCSD/StructureDefinition/IHE.mCSD.PractitionerRole" />
    <derivation value="constraint" />
    <differential>
        <element id="PractitionerRole.active">
            <path value="PractitionerRole.active" />
            <comment value="Identified as a query requirement through mCSD CapabilityStatement." />
            <mustSupport value="true" />
        </element>
        <element id="PractitionerRole.practitioner">
            <path value="PractitionerRole.practitioner" />
            <comment value="Identified as a query requirement through mCSD CapabilityStatement." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-Practitioner" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="PractitionerRole.organization">
            <path value="PractitionerRole.organization" />
            <comment value="Identified as a query requirement through mCSD CapabilityStatement." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-Organization" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="PractitionerRole.code">
            <path value="PractitionerRole.code" />
            <comment value="Identified as a query requirement through mCSD CapabilityStatement. Elements with a modified minimum cardinality of 1 will have a mustSupport element to ensure that it is populated." />
            <mustSupport value="true" />
            <binding>
                <strength value="preferred" />
                <description value="A role type that is used to categorize an entity that delivers health care in an expected and professional manner to an entity in need of health care services. Examples: Registered Nurse, Chiropractor, Physician, Custodial Care Clinic." />
                <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/healthcareproviderroletype" />
            </binding>
        </element>
        <element id="PractitionerRole.specialty">
            <path value="PractitionerRole.specialty" />
            <comment value="Identified as a query requirement through mCSD CapabilityStatement." />
            <mustSupport value="true" />
            <binding>
                <strength value="preferred" />
                <description value="Defines the clinical, medical, surgical or other healthcare-related service specialty of a practitioner who interacts, treats or provides such services to or for a patient." />
                <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/practitionerspecialty" />
            </binding>
        </element>
        <element id="PractitionerRole.location">
            <path value="PractitionerRole.location" />
            <comment value="Identified as a query requirement through mCSD CapabilityStatement." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-Location" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="PractitionerRole.healthcareService">
            <path value="PractitionerRole.healthcareService" />
            <comment value="Identified as a query requirement through mCSD CapabilityStatement." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-HealthcareService" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="PractitionerRole.telecom">
            <path value="PractitionerRole.telecom" />
            <comment value="Identified as a requirement to support the ability to distinguish practitioner contact information that is distinct by location (or service). This is a mustSupport element in the CA:eReC profile." />
            <mustSupport value="true" />
        </element>
        <element id="PractitionerRole.telecom.system">
            <path value="PractitionerRole.telecom.system" />
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>
{
    "resourceType": "StructureDefinition",
    "id": "CA-CSD-PractitionerRole",
    "extension":  [
        {
            "extension":  [
                {
                    "url": "code",
                    "valueCode": "SHALL:able-to-populate"
                },
                {
                    "url": "code",
                    "valueCode": "SHOULD:populate"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.active"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.practitioner"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.organization"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.code"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.specialty"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.location"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.healthcareService"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.telecom"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.telecom.system"
                },
                {
                    "url": "actor",
                    "valueCanonical": "http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/server"
                }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
        },
        {
            "extension":  [
                {
                    "url": "code",
                    "valueCode": "SHALL:no-error"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.active"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.practitioner"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.organization"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.code"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.specialty"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.location"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.healthcareService"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.telecom"
                },
                {
                    "url": "elementId",
                    "valueString": "PractitionerRole.telecom.system"
                },
                {
                    "url": "actor",
                    "valueCanonical": "http://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/client"
                }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
        }
    ],
    "url": "http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-PractitionerRole",
    "name": "PractitionerRole",
    "status": "draft",
    "description": "A PractitionerRole is used to show what Healthcare Service, a Practitioner provides at a particular Location for an Organization.",
    "copyright": "Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "PractitionerRole",
    "baseDefinition": "https://profiles.ihe.net/ITI/mCSD/StructureDefinition/IHE.mCSD.PractitionerRole",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "PractitionerRole.active",
                "path": "PractitionerRole.active",
                "comment": "Identified as a query requirement through mCSD CapabilityStatement.",
                "mustSupport": true
            },
            {
                "id": "PractitionerRole.practitioner",
                "path": "PractitionerRole.practitioner",
                "comment": "Identified as a query requirement through mCSD CapabilityStatement.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-Practitioner"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "PractitionerRole.organization",
                "path": "PractitionerRole.organization",
                "comment": "Identified as a query requirement through mCSD CapabilityStatement.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-Organization"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "PractitionerRole.code",
                "path": "PractitionerRole.code",
                "comment": "Identified as a query requirement through mCSD CapabilityStatement. Elements with a modified minimum cardinality of 1 will have a mustSupport element to ensure that it is populated.",
                "mustSupport": true,
                "binding": {
                    "strength": "preferred",
                    "description": "A role type that is used to categorize an entity that delivers health care in an expected and professional manner to an entity in need of health care services. Examples: Registered Nurse, Chiropractor, Physician, Custodial Care Clinic.",
                    "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/healthcareproviderroletype"
                }
            },
            {
                "id": "PractitionerRole.specialty",
                "path": "PractitionerRole.specialty",
                "comment": "Identified as a query requirement through mCSD CapabilityStatement.",
                "mustSupport": true,
                "binding": {
                    "strength": "preferred",
                    "description": "Defines the clinical, medical, surgical or other healthcare-related service specialty of a practitioner who interacts, treats or provides such services to or for a patient.",
                    "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/practitionerspecialty"
                }
            },
            {
                "id": "PractitionerRole.location",
                "path": "PractitionerRole.location",
                "comment": "Identified as a query requirement through mCSD CapabilityStatement.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-Location"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "PractitionerRole.healthcareService",
                "path": "PractitionerRole.healthcareService",
                "comment": "Identified as a query requirement through mCSD CapabilityStatement.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://fhir.infoway-inforoute.ca/io/CA-CSD/StructureDefinition/CA-CSD-HealthcareService"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "PractitionerRole.telecom",
                "path": "PractitionerRole.telecom",
                "comment": "Identified as a requirement to support the ability to distinguish practitioner contact information that is distinct by location (or service). This is a mustSupport element in the CA:eReC profile.",
                "mustSupport": true
            },
            {
                "id": "PractitionerRole.telecom.system",
                "path": "PractitionerRole.telecom.system",
                "mustSupport": true
            }
        ]
    }
}

Terminology bindings (Differential)

PathConformanceValueSet
PractitionerRole.codepreferredhttps://fhir.infoway-inforoute.ca/ValueSet/healthcareproviderroletype
PractitionerRole.specialtypreferredhttps://fhir.infoway-inforoute.ca/ValueSet/practitionerspecialty

Terminology bindings (Snapshot)

PathConformanceValueSet
PractitionerRole.languagepreferredhttp://hl7.org/fhir/ValueSet/languages
PractitionerRole.codepreferredhttps://fhir.infoway-inforoute.ca/ValueSet/healthcareproviderroletype
PractitionerRole.specialtypreferredhttps://fhir.infoway-inforoute.ca/ValueSet/practitionerspecialty
PractitionerRole.telecom.systemrequiredhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
PractitionerRole.telecom.userequiredhttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
PractitionerRole.availableTime.daysOfWeekrequiredhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1
PathConformanceValueSet
PractitionerRole.languagepreferredhttp://hl7.org/fhir/ValueSet/languages
PractitionerRole.codepreferredhttps://fhir.infoway-inforoute.ca/ValueSet/healthcareproviderroletype
PractitionerRole.specialtypreferredhttps://fhir.infoway-inforoute.ca/ValueSet/practitionerspecialty
PractitionerRole.telecom.systemrequiredhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
PractitionerRole.telecom.userequiredhttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
PractitionerRole.availableTime.daysOfWeekrequiredhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1

Constraints

Obligations

ObligationsActorElement
SHALL:able-to-populate; SHOULD:populatehttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/serverPractitionerRole.active; PractitionerRole.practitioner; PractitionerRole.organization; PractitionerRole.code; PractitionerRole.specialty; PractitionerRole.location; PractitionerRole.healthcareService; PractitionerRole.telecom; PractitionerRole.telecom.system
SHALL:no-errorhttp://fhir.infoway-inforoute.ca/io/CA-CSD/ActorDefinition/clientPractitionerRole.active; PractitionerRole.practitioner; PractitionerRole.organization; PractitionerRole.code; PractitionerRole.specialty; PractitionerRole.location; PractitionerRole.healthcareService; PractitionerRole.telecom; PractitionerRole.telecom.system

Table of Contents | IG © based on FHIR R4 | Package package:ca.infoway.io.ca-csd@1.0.3-DFT | Version History
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